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Traqueobroncopatía osteocondroplásica, un hallazgo casual
Tracheobronchopathia Osteochondroplastica. A Chance Finding
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A Chance Finding" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 543 "Ancho" => 950 "Tamanyo" => 117297 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen de broncoscopia a nivel traqueal (A) y de carina principal (B) donde observamos protusiones cartilaginosas irregulares hacia la luz que respetan completamente la pars membranosa.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mujer de 78 años de edad a la que se detecta un nódulo pulmonar de 18<span class="elsevierStyleHsp" style=""></span>mm en el lóbulo superior derecho como hallazgo casual en un TAC de tórax realizado para estudio de una posible miastenia gravis. La paciente no presenta ningún síntoma respiratorio. Se realiza una broncoscopia en la que se visualiza una importante afectación nodular e irregular de la pared anterolateral de la tráquea y bronquios principales, de consistencia pétrea y que respeta por completo la pars membranosa (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). Ante estos característicos hallazgos se le diagnostica de traqueobroncopatía osteocondroplásica.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La traqueobroncopatía osteocondroplásica es una enfermedad benigna, rara y de causa desconocida que afecta a la tráquea y a los bronquios principales en menor medida. Se debe a la formación de nódulos submucosos de origen cartilaginoso u óseo que se proyectan sobre la luz de la vía aérea respetando la pared posterior<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>. Para el diagnóstico es suficiente con visualizar en la broncoscopia estas alteraciones sin precisar un análisis histológico<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a>. No obstante, si se realizan biopsias se observa hueso o calcificación de la submucosa. El curso de la enfermedad es benigno y lento y no suele presentar complicaciones.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 543 "Ancho" => 950 "Tamanyo" => 117297 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen de broncoscopia a nivel traqueal (A) y de carina principal (B) donde observamos protusiones cartilaginosas irregulares hacia la luz que respetan completamente la pars membranosa.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchopathia osteochondroplastica: awareness is the key for diagnosis and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Devaraja" 1 => "P. Sagar" 2 => "A.S. Chirom" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bcr-2017-220567" "Revista" => array:2 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2017" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-malignant central airway obstuction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D. Barros Casas" 1 => "S. Fernández-Bussy" 2 => "E. Folch" 3 => "J. Flandes Aldeyturriaga" 4 => "A. Majid" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2013.12.012" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2014" "volumen" => "50" "paginaInicial" => "345" "paginaFinal" => "354" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24703501" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005400000005/v1_201805020858/S0300289617303022/v1_201805020858/es/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005400000005/v1_201805020858/S0300289617303022/v1_201805020858/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617303022?idApp=UINPBA00003Z" ]
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